Dr. Matthew R. Herald, MD
- Medicare services, 2024
- 165
- Medicare patients, 2024
- 91
- Part D claims, 2024
- 2,354
- Hospital affiliations
- 1
- Medical groups
- 4
- Practice address
- N17w24100 Riverwood Dr, Waukesha, WI 53188
- Practice phone
- Call (262) 928-4100
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Prohealth Medical Group Inc
Waukesha, Wisconsin
Find Dr. Herald's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Matthew R. Herald is a psychiatrist in Waukesha, Wisconsin
Dr. Herald practices at Prohealth Medical Group Inc in Waukesha, Wisconsin.
Dr. Herald's NPI, 1275737199, was assigned on June 13, 2007. Dr. Herald graduated from Joe R. & Teresa Lozano Long School of Medicine in 2007. Dr. Herald's Wisconsin license number on file is 52333.
- NPI
- 1275737199NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7810166824
- NPI enumeration date
- June 13, 2007
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (262) 928-4100
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 45
- Medical school graduation
- 2007
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Matthew R. Herald practices at Prohealth Medical Group Inc in Waukesha, Wisconsin
Dr. Herald's primary practice is Prohealth Medical Group Inc, at N17w24100 Riverwood Dr, Waukesha, WI 53188 in Waukesha County. The practice phone is (262) 928-4100.
- Prohealth Medical Group IncN17w24100 Riverwood Dr, Waukesha, WI 53188 · Waukesha CountyPhone(262) 928-4100
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Matthew R. Herald is affiliated with 4 sites of care and 4 medical groups
Dr. Herald's primary practice is Prohealth Medical Group Inc in Waukesha, Wisconsin. Dr. Herald is also affiliated with ProHealth Waukesha Memorial Hospital. The medical group on file is ProHealth Medical Group. Dmand AI also links Dr. Herald to 3 more medical groups and 2 group practices and clinics, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Matthew R. Herald's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Herald practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Prohealth Medical Group Inc | Available with a free account |
| +3 more sites and 3 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Matthew R. Herald is one of 688 psychiatrists in Wisconsin
Psychiatry is Dr. Herald's primary specialty in the NPI Registry, under taxonomy code 2084P0800X. Dr. Herald is board certified in geriatric psychiatry by the American Board of Psychiatry and Neurology. Dr. Herald has a license on file in Wisconsin.
Specialties and state licenses
- Psychiatry, WisconsinPrimary
Clinical focus
Dmand AI lists ADHD, anxiety, bipolar disorder, depression, insomnia, psychological distress, psychoses and schizophrenia among the conditions Dr. Herald treats.
Psychiatrists near Dr. Herald
Counts of psychiatrists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Matthew R. Herald billed Medicare for 165 services in 2024
CMS data shows 165 Medicare services from Dr. Herald across 2 procedure codes in 2024, for 91 Medicare patients. Medicare paid $16,983 for them. Every service was in an office.
Dr. Herald's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 5562024: 12078%
- Tests and treatments
- 2023: 232024: 4596%
Dr. Herald compared with the Wisconsin median for psychiatrists, 2024
- Dr. Herald
- Wisconsin median
- Medicare services
- 165vs 12829% above
- Medicare patients
- 91vs 4986% above
- Part D claims
- 2,177vs 2329.4 times
Medians across 753 psychiatrists in Wisconsin with Dmand AI profiles that report each measure.
Dr. Herald's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Herald?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Herald and other psychiatrists in Wisconsin.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Matthew R. Herald treated 91 Medicare patients in 2024, average age 65
CMS counts 91 Medicare patients who saw Dr. Herald in 2024. The largest group is under 65, with 34 patients. 75% of them have anxiety, and 75% have high cholesterol. 42% are also on Medicaid. Their average risk score is 1.46, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Herald's median patient age at 63, with 57% women.
Dr. Herald's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Herald's Medicare patients by sex, 2024
- Women5560%
- Men3640%
Chronic conditions among Dr. Herald's Medicare patients, 2024
- Anxiety75%
- High cholesterol75%
- Mood disorders75%
- Depression68%
- High blood pressure66%
- Arthritis37%
- Diabetes37%
- Bipolar disorder32%
Share of Medicare patients with each condition. A patient can have several.
Dr. Herald's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 63
Patient panel by sex, all payers
- Women57%
- Men43%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Matthew R. Herald wrote 2,354 Medicare Part D claims in 2024
In 2024, Dr. Herald wrote 2,354 Medicare Part D claims for 266 patients. 95% of them were for generic drugs. CMS names the drug for 2,177 of them, across 52 drugs with 11 or more claims each, at $117,141 in total drug cost. In 2023, CMS named 472 claims across 20 drugs.
Dr. Herald's Part D claims by kind of drug, 2024
- Generic2,231 claims95%
- Brand-name123 claims5%
Dr. Herald's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Drug classes CMS tracks in Dr. Herald's Part D claims, 2024
- Antipsychotics, patients 65 and over10%240 of 2,354 claims
Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 4722024: 2,177361%
Drugs named by CMS: 52 in 2024, 20 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Matthew R. Herald offers telehealth to Medicare patients
Dr. Herald accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Herald as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
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Dr. Matthew R. Herald has 1 award and honors on record
Dmand AI lists 1 award for Dr. Herald, most recently CMS Stage 1 EHR in 2013.
Awards and honors for Dr. Herald
- 2013
- CMS Stage 1 EHR
Source: Dmand AI Professional Profile Data
Dr. Matthew R. Herald graduated from Joe R. & Teresa Lozano Long School of Medicine
Dr. Herald graduated from Joe R. & Teresa Lozano Long School of Medicine in 2007.
- Medical school
- Board certified in geriatric psychiatry
- Board certified in psychiatry
Source: Dmand AI Professional Profile Data
Dr. Matthew R. Herald accepts plans from 13 insurance carriers
Dr. Herald is in network with 13 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
- Aetna
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of Massachusetts
- Dean Health Plan
- Elevance
- HCSC
- Humana
- +5 more carriersWith a free account
Plan types Dr. Herald accepts, by number of carriers
- Medicare10
- PPO8
- HMO5
- Medicaid3
- POS3
- EPO2
Source: Dmand AI Insurance Network Data
Sources for Dr. Matthew R. Herald's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Matthew R. Herald
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Matthew R. Herald's NPI number?
Dr. Matthew R. Herald's NPI number is 1275737199. It was assigned on June 13, 2007, and it is active in the NPI Registry.
What kind of doctor is Dr. Matthew R. Herald?
Dr. Matthew R. Herald is a psychiatrist in Waukesha, Wisconsin. The primary specialty in the NPI Registry is Psychiatry Physician (taxonomy code 2084P0800X).
Where does Dr. Matthew R. Herald practice?
Dr. Herald practices at N17w24100 Riverwood Dr, Waukesha, WI 53188. Dr. Herald's primary practice is Prohealth Medical Group Inc in Waukesha, Wisconsin. Dmand AI also links Dr. Herald to 3 medical groups and 2 group practices and clinics.
What is Dr. Matthew R. Herald's office phone number?
The practice phone on file for Dr. Herald is (262) 928-4100.
What is Dr. Matthew R. Herald's medical license number?
Dr. Herald's Wisconsin license number on file is 52333.
Which hospitals is Dr. Matthew R. Herald affiliated with?
Dr. Herald is affiliated with ProHealth Waukesha Memorial Hospital.
What medical group is Dr. Matthew R. Herald part of?
Dr. Herald is linked to ProHealth Medical Group. Dmand AI links Dr. Herald to 3 more medical groups.
Does Dr. Matthew R. Herald accept Medicare?
Yes. CMS data shows Dr. Herald billed Medicare for 165 services in 2024, and Dr. Herald accepts Medicare assignment.
Does Dr. Matthew R. Herald offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Herald as offering telehealth services.
How many Medicare patients does Dr. Matthew R. Herald see?
CMS counts 91 Medicare patients who saw Dr. Herald in 2024, with an average age of 65.
Show 6 more questionsShow fewer questions
Is Dr. Matthew R. Herald board certified?
Yes. Dr. Herald is board certified in geriatric psychiatry by the American Board of Psychiatry and Neurology.
What services does Dr. Matthew R. Herald bill to Medicare?
In 2024, Dr. Herald's most billed Medicare services were office visit, established patient (99214) and psychiatric service (90792).
Where did Dr. Matthew R. Herald go to medical school?
Dr. Herald graduated from Joe R. & Teresa Lozano Long School of Medicine in 2007.
What drugs does Dr. Matthew R. Herald prescribe most?
In 2024 Medicare Part D data, Dr. Herald's most prescribed drugs by claims were Quetiapine Fumarate, Duloxetine HCl and Clonazepam.
How long has Dr. Matthew R. Herald been practicing?
Dr. Herald graduated from medical school in 2007, 19 years ago.
What insurance does Dr. Matthew R. Herald accept?
Dr. Herald is in network with 13 carriers, including Aetna, United Healthcare and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 10. Check the plan with the practice before a visit.
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